Active NPI
Regal Adult Day Service Corp
- In Home Supportive Care Agency
- East Chicago, IN
National Provider Identifier
1124899034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- REGAL ADULT DAY SERVICE CORP
- Practice address
- 502 W 142ND St
East Chicago, IN 46312-2534 - Phone
- (219) 384-0605
- Fax
- (219) 413-5245
- NPI assigned
- Jan 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Bandy
- Title
- President
- Phone
- (219) 384-0605
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Adult Care Home Facility | 311ZA0620X | |||
| Private Vehicle | 347C00000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
502 W 142ND St
East Chicago, IN 46312-2534
Mailing address
502 W 142ND St
East Chicago, IN 46312-2534
Phone (219) 384-0605
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | admin@regaladultdayservices.com | Direct |
National Provider Directory
National Provider DirectoryLocations
502 W 142nd St
East Chicago, IN 46312
Phone (219) 384-0605
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Gary, IN
- NPI 1306224597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704844800000",
"number": "1124899034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 W 142ND ST",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463122534",
"telephone_number": "219-384-0605",
"fax_number": "219-413-5245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W 142ND ST",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463122534",
"telephone_number": "219-384-0605",
"fax_number": "219-413-5245"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGAL ADULT DAY SERVICE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A",
"authorized_official_last_name": "BANDY",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-384-0605"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "admin@regaladultdayservices.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "502 W 142nd St",
"city": "East Chicago",
"state": "IN",
"country_code": "US",
"postal_code": "463122534",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.